Traditional Metal Braces: Maximum Control for Complex Cases
Metal braces remain the gold standard for orthodontic cases that demand the highest level of three-dimensional tooth control. Severe crowding, significant rotations, large overbites, open bites, and cases requiring surgical coordination respond most predictably to fixed bracket-and-wire mechanics. At ADSC, modern self-ligating metal brackets reduce friction, decrease appointment frequency, and improve comfort compared to the braces systems of previous decades.
Each bracket is bonded to a specific tooth surface at a precise angle and position calculated to express the desired final tooth alignment when engaged with a full-dimension archwire. Treatment progresses through a planned sequence of wires — starting with light, flexible nickel-titanium wires for initial alignment and advancing to stiff stainless steel wires for final detailing and torque expression. This staged wire progression respects biological force thresholds while achieving comprehensive tooth repositioning.
Braces treatment at a multi-disciplinary center offers a distinct advantage: if temporary anchorage devices, surgical exposure of impacted teeth, or periodontal treatment is needed during the orthodontic process, those services are available in-house without referral delays. Treatment coordination between the orthodontic and surgical teams is immediate, streamlining complex cases that would otherwise require months of inter-office scheduling.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite B, in Beaverton, Or Oregon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his experience with implant procedures and predictable results.
We handle the procedures within our scope and coordinate closely with your general dentist for seamless continuity of care from start to finish.
Office hours: Mon–Fri 8 AM–5 PM (Thu & Fri until 6 PM), Sat 8 AM–2 PM
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Fixed Appliance Mechanics: Force Systems and Biological Response
Fixed orthodontic appliances create force systems through the interaction between bracket slot geometry and archwire properties. A bracket slot of 0.022 x 0.028 inches filled with a round 0.014 nickel-titanium wire produces light, multidirectional forces suitable for initial leveling and alignment. As treatment progresses to rectangular stainless steel wires that fill more of the slot, the system expresses torque (root-tipping), tip, and rotation prescribed by the bracket prescription. Self-ligating brackets replace the elastomeric ties of conventional brackets with a built-in clip mechanism, reducing friction by up to 60 percent and allowing the wire to slide more freely through the slot. This friction reduction translates to more efficient tooth movement with lower applied forces. Temporary anchorage devices (TADs) extend biomechanical possibilities by providing skeletal anchor points that do not move in response to reciprocal forces — enabling molar intrusion, en-masse retraction without premolar extraction, and asymmetric corrections that conventional anchorage cannot achieve.
Why Choose ADSC?
The orthodontic team at ADSC selects bracket systems based on the biomechanical demands of each case rather than defaulting to a single brand or prescription. Self-ligating brackets are used for their efficiency advantages in most cases, with conventional brackets applied when specific force requirements favor their mechanics. Wire sequencing protocols follow evidence-based progression schedules calibrated to tooth type, root length, and bone density. CBCT imaging is standard for complex cases, providing volumetric data on root proximity to cortical bone, condylar morphology, and airway dimensions that influence the treatment plan architecture.
Your Orthodontic Consultation Beaverton Treatment Steps
- Consultation & Exam: Comprehensive orthodontic consultation beaverton evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Our experienced dental team discusses your orthodontic consultation beaverton options, timeline, and costs. We use advanced 3D imaging and evidence-based protocols across general dentistry, endodontics, and pediatric care.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for optimal healing.
Schedule Your Appointment Today
Book a consultation with our team at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 8 AM to 5 PM (until 6 PM Thursday and Friday), Saturday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
A Note from Your Dental Team
In my experience, the patients who get the best results from orthodontic consultation beaverton are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Every patient I see has a different story, a different set of concerns, and a different definition of what ‘success’ looks like. That’s why I don’t believe in one-size-fits-all treatment plans. When you come in for a consultation, I’ll listen first, examine second, and recommend third.
I also won’t recommend a procedure you don’t need. If your tooth can be saved with a filling instead of a crown, I’ll tell you that. If watchful waiting is appropriate, I’ll explain why. My job isn’t to sell treatment — it’s to give you my honest clinical judgment so you can make an informed decision.
If you have questions about whether this treatment is right for you, or if you’ve been told you need this procedure by another dentist and want a second opinion, call us at (503) 822-0096. We’re happy to take the time to explain everything — no rush, no pressure.”
— Aloha Dental Specialty Center, Beaverton, OR
I know many patients feel anxious about dental procedures — you’re not alone in that. What I hear most often after treatment is: “That was so much easier than I expected.” We’re here to make this as comfortable as possible for you.
What are the risks? As with any dental procedure, potential risks include temporary discomfort, minor swelling, and in rare cases, infection. Serious complications are uncommon when treatment is performed by experienced specialists using proper protocols. We use 3D imaging and sterile technique to minimize risk, and we discuss all potential outcomes with you before starting treatment.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
Yes. Braces provide superior mechanical control for severe crowding, significant overbites, open bites, complex rotations, and cases requiring surgical jaw repositioning. The fixed nature of braces means tooth movement occurs 24 hours a day regardless of patient compliance, which is a significant advantage for challenging cases.
Adult braces treatment typically ranges from 18 to 30 months depending on severity. Adults often take slightly longer than adolescents because bone remodeling is slower in mature patients, and many adults present with additional factors — periodontal considerations, existing restorations, or missing teeth — that add complexity to the treatment plan.
Self-ligating brackets reduce friction and may accelerate the initial alignment phase. However, overall treatment time depends primarily on case complexity, biology, and compliance. Studies show modest time reduction with self-ligating systems, typically one to three months, primarily due to fewer required adjustments and more efficient wire expression.
Most foods are fine. Avoid hard foods that can break brackets (ice, hard candy, popcorn kernels), sticky foods that pull brackets off (caramel, taffy), and biting into hard items with front teeth (apples — cut them up). With reasonable care, dietary restrictions are minimal and temporary.
Adjustment appointments occur every four to six weeks. Each visit involves wire changes, elastic replacement, and assessment of tooth movement progress. Self-ligating brackets may allow slightly longer intervals between some appointments. Each adjustment visit is brief — typically 15 to 30 minutes.
Placement is painless. After initial bonding and after each wire change, teeth feel sore and tender to biting pressure for three to five days. Over-the-counter analgesics manage this effectively. The soreness indicates that bone remodeling is occurring. Modern lighter wires produce less initial discomfort than older systems.
Brush after every meal using a soft-bristled brush angled toward the bracket. An interdental brush cleans between brackets and under wires. Floss with a floss threader or orthodontic flossing device daily. A water flosser is a helpful adjunct. Neglecting hygiene with braces leads to decalcification (white spots) that become permanent stains.
Elastics provide inter-arch forces that move the upper and lower jaws into proper relationship — correcting overbites, underbites, or midline discrepancies. They are worn from specific upper brackets to specific lower brackets as prescribed. Consistent elastic wear is critical; intermittent use slows treatment and can cause the teeth to rebound.
Yes. There is no upper age limit for braces. Adult patients with healthy bone and periodontal support respond well to orthodontic treatment. Braces are sometimes the preferred option for adults with complex bite issues, and many adults opt for ceramic or lingual braces for reduced visibility.
Metal braces at ADSC typically range from $3,000 to $6,000 depending on treatment complexity and duration. Insurance orthodontic benefits, if available, are applied to this cost. Monthly payment plans and healthcare financing through CareCredit or Cherry are available to distribute the investment over the treatment period.
Braces can modify the dental relationship between the upper and lower arches, creating the appearance of improved jaw alignment. True skeletal discrepancies — where the jawbones themselves are mismatched in size or position — require combined orthodontic-surgical treatment. Braces align the teeth; orthognathic surgery repositions the jaws. Both are available at ADSC.
Contact the office. A broken bracket is not an emergency unless it causes pain or wire-related soft tissue irritation. If the bracket slides on the wire, it may be left in place until the next scheduled visit. If the wire end is poking, use orthodontic wax to cover it and call for an earlier appointment. Avoid cutting the wire yourself.
Extraction for orthodontic purposes is less common than in previous decades due to improved techniques and expanded treatment options (TADs, palatal expansion). However, severe crowding or significant protrusion may still require premolar extraction to create space. The decision is made based on cephalometric analysis, dental model assessment, and treatment objectives.
A mouthguard designed for orthodontic patients fits over brackets without damaging them. These are available commercially or can be custom-fabricated. For contact sports (football, basketball, martial arts), a mouthguard is essential. For non-contact activities, standard brackets are durable enough for normal athletic participation.
Brackets are debonded and residual adhesive is polished off the teeth — a painless process. Impressions or scans are taken for retainer fabrication. Most patients receive a removable clear retainer and may have a fixed bonded retainer on the lower anterior teeth. Retainer wear is mandatory to prevent relapse. The first several months require full-time wear, transitioning to nighttime-only.